经尿道双极双环等离子电切治疗高危前列腺增生疗效观察  

Eeffect of transurethral bipolar and resection bicyclol Plasma cutting on treatment of high-risk BPH

作　　者：郑刚[1] 郝兴发[1] 

机构地区：[1]淮南市第一人民医院西院泌尿科,安徽省淮南232038

出　　处：《中国基层医药》2009年第8期1404-1405,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨对高危前列腺增生患者采用经尿道前列腺双极双环电切术治疗的安全性、有效性。方法回顾性分析56例高危前列腺增生患者采用美国CIRCON双极双环等离子电切镜行电切术的临床资料。结果56例患者手术时间50—100min，平均70min，IPSS评分由术前（28．2±1．5）分降至术后（7．0±1．0）分，均排尿通畅；1例术后出现轻度尿失禁，治疗2个月后治愈；术后随访未发现尿道狭窄、继发性出血及增生症状。结论经尿道前列腺双极双环电切术治疗高危前列腺增生安全、有效。Objective To explore the high-risk patients with benign prostatic hyperplasia using bipolar transurethral resection of prostate for the treatment of dual-loop electrosurgical excision of the safety, effectiveness. Methods To retrospectively analyze of 56 cases with high-risk BPH patients with United States bicyclol CIRCON ion bipolar TURP TURP mirror line. Results Operation time was 50 - 100 minutes, an average of 70 minutes. 1 case of mild postoperative incontinence,IPSS score from（28.2 ± 1. 5） to （7.0 ± 1.0） ,voiding patency,fewer complications. Conclusion 1. Lavage using normal saline to avoid TURS syndrome,operative time can be extended accordingly. 2. The current through the body, suitable for patients with special diseases. 3. Reducing the incidence of capsular perforation. 4. Less bleeding and reduce the occurrence of postoperative complications. 5. TURP plasma removal of prostate tissue without charring, suitable for histopathological examination, to avoid the TURP and TUVP undetected pathological examination, increased prostate cancer detection rate.

关 键 词：高危患者 等离子电切 

分 类 号：R699[医药卫生—泌尿科学]